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Application Type Revision
Code Version 2017
Application Status Approved
Comments THESE PLANS AND ALL PROPOSED WORT 'C Archived RE SUBJECT TO ANY CORRECTIONS
REQUIRED BY.pIgLD INSPECTORS THAT
ProductMUAYBE Eu�N,e_CESSARYINORDER TO POLYGLASS
Address/Phone/Email USA
TH ALL APPk1CA®Le Conn. 1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1378 Ext242
alender@polyglass.com
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
CONCEALED FASTENERS OR ATTACHMENTS
ARE THE RESPONSIBILITY OF THE
CONTRACTOR OF RECORD
Clihra a0ry
Compliance Method
Ariel Lender
alender@polyglass.com
Maury Alpert
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(912) 429-8610
MAI pert@polyg lass.com
Ariel Lender
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1230
ALender@polyglass.com
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a
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
0 Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 10/05/2018
Validated By John W. Knezevich, PE
RJ' Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
FL5259 R28 COI 2018 01 COI NIEMINEN.pddf
Standard
ASTM D1970 M 9
Year
2015
ASTM D226 5`"'• 13 da,
2009
ASTM D4798 i'—`~
2011
ASTM D6164
2011
ASTM D6222
2011
FM 4474
2011
FRSA/TRI April 2012
2012
UL 1897
t
2012
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 01/24/2018
Date Validated 01/29/2018
Date Pending FBC Approval 01/30/2018
Date Approved 04/10/2018
Summary of Products
FL #
Model, Number or Name
Description
5259.1
Polyglass Roof
Roofing underlayments
Underlayments
Limits of Use
Installation Instructions
Approved' for use in HVHZ: No
FL5259 R28 II 2018 01 FINAL ER POLYGLASS UNDERLAYMENTS FL5259-
R28.pdf
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-622.5
Created by Independent Third Party: Yes
Other: 1.) The design pressure in this
Evaluation Reports
application relates to one particular
FL5259 R28 AE 2018 01 FINAL ER POLYGLASS UNDERLAYMENTS FL5259-
R28. p_df
underlayment system (over concrete deck) for
use under foam -on tile systems (where the
Created by Independent Third Party: Yes
underlayment forms part of the load -path).
Refer to ER Section 5.6.4 for other systems,
other deck types and associated maximum
design pressures. 2.) Refer to ER Section 5 for
other limits of use.
Back FNe.tj
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Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records reques4 do not send electronic
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